【摘要】 目的回顾性研究评价复合固定技术治疗不稳定性骨折的临床疗效。方法对2002-2006年间应用外固定和内固定复合固定技术手术治疗的60例不稳定骨盆骨折患者临床资料进行回顾性分析,分别应用Tile分类方法对骨折进行分类,应用Tornetta和Matta复位情况评价表评估复位情况,应用Majeed功能恢复评价表评价治疗的功能效果。结果52例患者获得随访,随访时间为10个月～3年,平均随访21个月。所有骨折均愈合,骨折复位优46例,良6例,可4例,差4例,优良率87%;功能恢复优25例,良18例,可4例,差5例,优良率82.7%。结论应用复合固定技术治疗骨盆骨折,骨折的复位和功能恢复均满意,并显著的减少并发症的发生。更多还原

【Abstract】 Objective To review and evaluate the outcomes of treatment of unstable pelvic fractures with complex fixation. Methods During the period of 2002～2006, 60 cases of unstable pelvic fractures were treated with close or open reduction and internal fixation associated with external fixation. A retrospective analysis was conducted to review the treatment outcome. The types of fractures were classified by the Tile’s method. The reduction outcomes were evaluated by the Tornetta and Matta scale, and the functional outcomes by the Majeed outcome scale. Results An average follow-up of 21 months (ranged from 10 to 36 months) was carried out in 52 cases. The outcomes of reduction were excellent in 46, good in 6, fair in 4 and poor in 4 cases, with an excellent and good rate of 87%; and the functional outcomes were excellent in 25, good in 18, fair in 4 and poor in 5 cases, with an excellent and good rate of 82.7%. Conclusions Stabilization and reconstruction of the pelvic ring can reduce the complications of unstable pelvic fractures, and the functional outcome can be achieved with satisfactory reduction of the fracture and complex fixation.更多还原